Organization
BLUE ADVANCE CARE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE MARIE SOTO (CEO)
(940) 757-2025
Entity
Organization
Contact information
Practice address
3215 CAROL ANN ST, WICHITA FALLS, TX 76309-2109
(940) 757-2025
Mailing address
3215 CAROL ANN ST, WICHITA FALLS, TX 76309-2109
(940) 757-2025
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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